Brian Grossman
Nurse Practitioner, Primary Care in Allen Park, MI. Individual provider (NPI-1).
NPI number1366949596
StatusActive
Last updated in NPPESApr 13, 2018
Details
- NPI
- 1366949596
- Entity type
- Individual (NPI-1)
- Name
- Brian Grossman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2018
- Last updated
- Apr 13, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 4704306156 | MI | Yes |
Practice location
14575 Southfield RdAllen Park, MI 48101-2640
Phone 313-381-8787
Mailing address
460 E Cambourne StFerndale, MI 48220-1306
Phone 248-672-9442
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